Dare to research

There is a paucity of scientific evidence originating from the African continent. (1) For evidence emanating from Africa, African researchers have very poor access to these publications. (1) In addition, the context within the African continent and other low- to middle-income countries,  are vastly different to that of higher-income countries, and the evidence produced in these settings may not be transferrable to us. (More on this here).

For these reasons it is essential for African researchers to start generating our own evidence that is applicable to our own context. A couple of barriers have been identified to performing research in the African EM setting. (2) These mainly include a lack of funding, training and time. (2) Let’s be fair, the amount of patients that we need to see with limited resources, makes research an unachievable luxury. But research does not have to be complicated. We don’t have to start with the multi-national, multi-centre, prehospital randomised controlled trial. Start with describing what is happening in your specific system, or what resources you have to work with, or what patients you see. There are many examples of these published in AfJEM, Africa’s only EM journal. This kind of data is essential so that we can continue gaining contextual insight and, you cannot solve a problem which you have not yet described or do not understand yet.

In this manner, research might be easier than you think!

I recently did a podcast at #badEMfest18 on this topic in prehospital care, with FOAMmedic.

  1. Bruijns S, Maesela M, Sinha S, Banner M. Poor Access for African Researchers to African Emergency Care Publications: A Cross-sectional Study. West J Emerg Med. 2017;18(6):1018–24. DOI: https://dx.doi.org/10.5811%2Fwestjem.2017.8.34930. PMID: 290855321.
  2. van Hoving DJ, Brysiewicz P. African emergency care providers’ attitudes and practices towards research. African J Emerg Med. 2017;7(1):9–14. DOI: https://doi.org/10.1016/j.afjem.2017.01.003.

The post Dare to research appeared first on #badEM.

Advanced Practice: New C-diff guidelines!

This week's post comes courtesy of our ED pharmacist Rachel Rafeq. Surprise! Metronidazole is no longer first line therapy for c-diff infections! Check out this handy table for the updated guidelines from the Infectious Disease Society of America for the latest treatment regimens

Category (Day): 

Ep 110 Airway Pitfalls – Live from EMU 2018

The last decade has seen a torrent of literature and expert opinion on emergency airway management. It is challenging to integrate all this new information into a seamless flow when faced with a challenging airway situation. In this live podcast recorded at North York General's Emergency Medicine Update Conference 2018, Scott Weingart and Anton Helman put together the latest in emergency airway management by outlining  6 common airway pitfalls: Failure to prepare for failure, failure to position the patient properly, failure to optimize oxygenation, failure to optimize hemodynamics, failure to consider an awake intubation and failure to prepare for a cricothyrotomy...

The post Ep 110 Airway Pitfalls – Live from EMU 2018 appeared first on Emergency Medicine Cases.